Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <f Z� TV A"hti4n-, 2D AIJ <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------------------ ------ ----------------------------------------------------------------------- <br /> ZONINGREVIEWBY: _ DATEAPPROVED: <br /> BUILDING REVIEW BE. DATE APPROVED 9.2 5 -o} <br /> --------------------------------------- ------------------------------------------ ------------------------------ <br /> FEES TO BE CHARGED. Misc. Fees Calculated <br /> PERMIT Yes No <br /> PLANREVIEW Yes_,,,� No SEWER CONNEC77ON <br /> STATE SURCHARGE Yes__Ae--` No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units 0771ER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ./ No Date of Survey: S-6-Ct w <br /> Proposed Setbacks: <br /> Front (Lake): 7-V) i' Right Side: 4 2 <br /> Rear (Street): S-)y' t Left Side: I /V <br /> Adjacent Structures: N 1 o4- Wetland: <br /> Building Height: Def. Hgt. O Peak Hgt. O.K <br /> Lot Coverage: /*///4 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Ny <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): s lwc9 /3 y 12u. <br /> — /yl��ff CO�t/�71�9�2 7`,� �,�g f44 y C'*c c5' <br /> 32 <br />